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Registered Nurse Level IV - Acute Stroke Unit (7800)

Rochester Regional Health Careers
Rochester, NY Full Time
POSTED ON 6/2/2026
AVAILABLE BEFORE 7/1/2026

HOW WE CARE FOR YOU:

At Rochester Regional Health, we are dedicated to getting healthcare right. Our robust benefits and total rewards foster employee wellbeing, professional development and personal growth. We care for your career while caring for the community.

  • Health & Wellness Benefits starting Your First Day

  • Personal Time that includes Vacation Time, Sick Time & Holidays

  • Retirement Savings Program

  • Same Day Pay through DailyPay

  • Student Loan Repayment Program

  • Tuition Assistance & Reimbursement

  • Recognition of Professional Growth through the Clinical Ladder

  • Certification

  • Enhanced Shift Differentials

  • Free Parking

SUMMARY:
As a Registered Nurse Level IV, you will leverage your clinical expertise and leadership skills to develop and implement comprehensive care plans for patients. Additionally, you will serve as a mentor to fellow team members, providing guidance and support to ensure the highest standards of care on the unit.

Acute Stroke Unit (7800) – Excellence in Stroke and Complex Medical Care

The 7800 Acute Stroke Unit is a 39-bed specialized unit dedicated to the care of patients experiencing acute stroke events, including TIA, ischemic and hemorrhagic strokes (CVA, cerebral, and subarachnoid hemorrhages), as well as complex medical conditions. Our highly skilled nursing team delivers specialized, evidence-based care in a fast-paced, team-oriented environment.

This unit includes 28 telemetry beds, with 8 hardwired for continuous cardiac monitoring. Patients receiving post-thrombolytic (TNK) care are placed in hardwired rooms and receive 1:1 nursing for the first 8 hours, transitioning to 1:2 care thereafter to ensure close neurological and hemodynamic monitoring. Nurse-to-patient ratios are 1:4/5 during the day and 1:5/6 at night, supporting both patient safety and nurse wellbeing.

Key Features:

  • Stroke-specific protocols and advanced post-TNK care
  • NIH Stroke Scale and BLS certification required
  • EPIC EMR for streamlined documentation and coordination
  • Specialized drips: Angiomax, Cardizem (<15mg), Labetalol, IVIG, Nitroglycerin, Nicardipine
  • Advanced equipment including chest tubes, central lines, NGT/OGT, G/J tubes, biphasic defibrillators, and Bair Hugger therapy
  • Focus on continuous learning and professional development

This unit is staffed by a dedicated team of healthcare professionals, offering an excellent opportunity to enhance your clinical skills while contributing to outstanding patient outcomes in stroke and medical care. It is an ideal environment for nurses seeking to specialize in neurology, telemetry, and complex medical-surgical care.

This role is part of the Registered Nurse Level IV / Clinical Nurse IV must complete the following:

  • Complete the Clinical Ladder binder within 12 months of employment

  • Minimum of 5 activities in each Pillar (Leadership, Quality, and Organizational Contribution)

  • 15 Continuing education units (CEU's)

  • 20 Flex items

STATUS: Full Time

LOCATION: Rochester General Hospital (RGH)

DEPARTMENT: Acute Stroke Unit (7800)

SCHEDULE: Day/Evening/Night - Every other weekend / holiday

DESIRED ATTRIBUTES:

  • Bachelor’s Degree in Nursing required.

  • Minimum of 6 months experience as a registered nurse.

  • Basic Life Support (BLS) certification

RESPONSIBILITIES

  • Assessment. Perform initial and ongoing assessment of the patient; demonstrate exceptional clinical judgment and advanced assessment skills; communicate and document assessment with interdisciplinary team; utilize all available resources in order to meet the needs of the patient and family
  • Planning & Implementation. Develop and document plan of care, treatment and services; collaborate interdisciplinary health team to deliver care; maintains an appropriate nurse-patient relationship and provides an exceptional experience for the patient and family
  • Evaluation & Education. Evaluate, communicate and document patient responses to care; revise plan of care based on ongoing evaluations; ensure the patient receives and understands education/training specific to their needs and abilities
  • Training. Provide training for new team members on the unit; assume role of teacher for nursing students and other students shadowing on the unit; act as a resource for other team members for both clinical and non-clinical matters

EDUCATION:

  • BS: Nursing (Required)

PHYSICAL REQUIREMENTS: M - Medium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects; Requires frequent walking, standing or squatting.

LICENSES/CERTIFICATIONS:

  • RN - Registered Nurse - New York State Education Department (NYSED)
  • BLS - Basic Life Support - American Heart Association (AHA)

PAY RANGE: $38.66 - $51.91

Salary : $39 - $52

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